Motivation: Scientific Secrets to Success

Researchers have been trying to figure out what compels us to do something repeatedly we don’t always want to do – like exercise. Here are some scientifically-proven strategies to help your workout motivation:

  • Give Yourself a Real Reward – Give yourself tangible, immediate benefits to working out, such as treating yourself to an episode of your favorite TV show or a healthy smoothie after you exercise. These kinds of rewards are powerful because your brain starts to link the reward to the behavior making it seem worthwhile. Over time, the motivation becomes the workout itself, as the brain begins to associate sweat and pain with the surge of endorphins — those feel-good chemicals released in the brain that are responsible for that exhilarating rush you get after a great exercise session. Once you’ve trained your brain to recognize that the workout itself is the reward, you won’t even need the treat.
  • Sign a Commitment Contract — Research shows we’re more likely to follow through with pledges when we make them in front of friends. You can up the ante even more by signing a contract agreeing to pay a pal $20 every time you skip your planned workout. Studies of people who created contracts found that those who signed longer contracts ended up exercising more than those who agreed to shorter time spans. Once we get past the initial pain and discomfort, it’s much easier to recognize the benefits of sticking to the routine.
  • Rethink Positive Thinking — Believers in the power of positive thinking also believe in the power of positive imaging, where you actual visualize the behavior and the beneficial outcomes of it as well. For example, when deciding whether to get out of bed to go running in the morning, it helps to imagine how the sun will feel on your face as you run. Or visualize your happiness as you see the results of your fitness routine. You can also visualize the obstacles to getting in the workouts you desire. Once you have those images, it’s easier to find solutions to work around the things blocking your wellness path. 
  • Find Your Fitness Tribe — What will ultimately inspire you to get up and start moving is a strong, supportive community. The laughs, high fives, and words of encouragement from the bonds people make are things that can’t be replicated. Find a workout that makes you feel good and surround yourself with people that help build your confidence as much as your strength. 

If you’re in the Las Vegas area and are considering weight-loss surgery, schedule an appointment at VIPSurg. Dr. Tsuda and his team of experts will find the right treatment for you.

jogging-3216189__340

Aging and Obesity: Is Bariatric Surgery an Option for the Elderly Patient?

The good news is that improved life expectancy is allowing baby boomers to enter their golden years in unprecedented numbers. The bad news is that rates of obesity among this aging demographic are climbing in never-before-seen numbers as well, putting this population at risk of developing cancer, heart disease, diabetes, lower extremity arthritis, sleep apnea, and stroke, all of which can lead to disability. Treatment guidelines to lose weight in the elderly have been difficult to define, yet it is very clear that obesity in the elderly contributes to worsening of multiple parameters which along with the metabolic problems mentioned already, include cognition, functionality and quality of life. While ample evidence supports the safety and effectiveness of weight-loss aka bariatric surgery in the general adult population, more information is needed in patients age 60 years and older.

Surgical treatment of obesity in the elderly, particularly over 65, remains controversial; this is explained by the increased surgical risk or the lack of data demonstrating its long-term benefit. Few studies have evaluated the clinical effects of bariatric surgery in this population.

The risk of any surgical intervention increases as one gets older. However, weight-loss surgery is very safe, and the potential benefits routinely outweigh any of the associated risks if there are no other health issues that would dramatically increase the risk of surgery.

Ideally, a comprehensive assessment would focus on psychosocial and functional status in addition to physical data. An excellent support system of family, friends, or caregiver resources is imperative. The selected patient should be capable of engaging in physical interventions focusing on mitigating muscle loss and osteoporosis and of maintaining changes in eating behavior as needed as well. A recommended “pre-habilitation” program may include a physical therapist to assist with strength and endurance training and a nutritionist to aide in enhancing protein intake, vitamin D, and other nutrient sufficiency.

Identifying goals of care, quality of life, and improved function should be considered as primary objectives of undergoing surgery. Goals of the surgery include not only weight loss but also improvements in physiological function, comorbidity, and quality of life, and reduction in institutionalization.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is here to help. Dr. Tsuda and his team of experts can find the best treatment for your unique situation.

Old obese woman walking with stick

 

 

 

Gallbladder Disease and Symptoms

Unless they’re experiencing bothersome symptoms associated with gallbladder disease, most people don’t give much thought to their gallbladder. However, when there is an issue, it can be quite painful and require immediate action.

The gallbladder is a 4-inch-long organ found under the liver in the upper right area of the abdomen. It stores bile, a compound produced by the liver to digest fat, and helps the body absorb fat-soluble vitamins and nutrients. Unfortunately, when the gallbladder stops working properly or the bile ducts are blocked, it can cause a lot of pain and discomfort.

Some common gallbladder problems include:

  • Gallstones – solid masses of cholesterol. Gallstones occur when high levels of fat and bile cause crystals to form. Over time, these crystals may combine and expand into stones.
  • Inflamed gallbladder, cholecystitis – Acute or sudden cholecystitis occurs when bile can’t leave the gallbladder. This commonly happens when a gallstone blocks the bile duct. Chronic cholecystitis occurs if there are recurrent acute attacks.
  • Perforated gallbladder – If left untreated, gallstones can lead to a perforated gallbladder – in other words, a hole in the wall of the organ can develop. Perforation also occurs as a complication of acute cholecystitis.
  • Porcelain (calcified) gallbladder – a condition where, over time, the muscular walls of the gallbladder develop a buildup of calcium. This makes them stiff, limiting the gallbladder’s function and increasing the risk of gallbladder cancer. With this condition, the organ becomes bluish and brittle.

Symptoms of gallbladder problems include:

  • Pain in the mid- or upper-right section of the abdomen: Gallbladder pain usually comes and goes. Gallbladder pain is often severe and can cause pain in the chest and back as well.
  • Nausea or vomiting: Any gallbladder problem may cause nausea or vomiting.
  • Fever or shaking chill: These are signs of infection in the body. Along with other gallbladder symptoms, fever and chills may point to a gallbladder problem or infection.
  • Changes in bowel movements: Frequent, unexplained diarrhea can signal a chronic gallbladder disease. Light-colored or chalky stools may point to a problem with the bile ducts.
  • Changes in urine: Dark urine may indicate a bile duct block.
  • Jaundice: Yellowing of the skin occurs when liver bile does not successfully reach the intestines. This normally happens due to a problem with the liver or due to a blockage in the bile ducts caused by gallstones.

If you’ve been diagnosed with gallbladder disease in the Las Vegas area or are experiencing these symptoms, schedule an appointment with VIPSurg. Dr. Tsuda is the area’s foremost robotic surgeon specializing in gallbladder, weight-loss/bariatric, and other areas of general surgery. Call for an appointment at (702) 487-6000.The Photo Of Liver On Woman's Body Against Gray Background, Hepatitis, Concept with Healthcare And Medicine